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Home My WebLink AboutBLD1990-00906 _., ,. • • FAIRWAY VILLAGE 4- BUILDING 'ERMIT APPLICATION Plex Site 17—B Jefferson County Building DepartmenteP . O . Box 12200Port Townsend, WA 98368 500 feet south of Teal Lake Road eG6i-edi>7 , : SPECIFIC LOCATION SITE ADDRESS POSTAL DISTRICT /SUBDIVISION LEGAL DESCRIPTION LO1- --- '7 BLOCK DIVISION TAX NUMBER • PARCEL NUMBER 821-212-001 I / 4 SECTION NW PLANNING AREA SECTION 21 TOWNSHIP 28N NORTH RANGE 1E wm BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE .--7 O SINGLE FAMILY N NEW BUILDING MAIN FLOOR O MOBILE HOME 0 ADDITION 2ND FLOOR O MODULAR HOME 0 ALTERATION -aogempm=effr3RP O DETACHED/ATTACHED 0 REPAIR ,G.A.R.perte-Elc4c,0 Or / 0 &,/ GARAGE 0 REPLACEMENT GARAGE h? Lfi2,,5- O WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL XMULTI - FAMILY 0 RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS -4- MOBILE HOMES O COMMERCIAL SIZE .__,=- •Wciti @ $35'1 `MF'7/1) O INDUSTRIAL YEAR ,;730,a,v1 @ s 1 6 , P F•_3.7,, O HOTEL/MOTEL/DORMITORY MAKE Q 50,50 @ $ a R3(00 NUMBER OF UNITS O OTHER - SPECIFY 0 @ $8 ESTIMATED COST OF ------UDC OCCUPANCY GROUP IL/5 I 5c610 •(i SELECTED CHARACTERISTICS OF BUILDING --- 1 PRINCIPLE TYPE OF HEATING FUEL PRINCIPLE TYPE OF FRAME X WOOD FRAME yK) ELECTRICITY 0 COLLECTIVE SOLAR O MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR O STRUCTURAL STEEL 0 GAS 0 COAL O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY O MASONRY ( WALL BEARING ) DIMENSIONS q sik) NUMBER OF STOR I E O OTHER - L -5 :..)) TOTAL DEPARTMENTAL REVIEW - HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS KPUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS 0 INDIVIDUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM APPROVED DATE El INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM,,,.. PUD TYPE OF WATER SUPPLY . XPUBLIC ' ( NAME OF WATER SUPPLY.). i-UlT)LI9(„4) (A4:1ft-16 APPROVED DATE 0 Pn 1 VATE ( NAME OF WATER SUPPLY PLANNING DEPT , W I TH I N SHOREL I NE JURISDICTION El YES NAME OF ADJACENT WATER BODY K NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF - WAY WIDTH NAME OF PUBLIC ROAD NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES A NO IDENTIFICATION NAME MAILING ADDRESS ZIP TEL NO ---- OWNER ' Pope Resources 60M Parise Bay Rd . Suite *4 Pt . Ludlow, WA 498365 437-2111 ---* CONT same ------..t. STATE L) crgTE NO POPER*12389 , , ARCH rUE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS, SIGN,7.91,411000eir7 APPLI ATIONDATE RE44111NUMBER CHECK NUg3E44T CASH ,-......" i .•••• I - ,7 APPROV, P UNIT FEES A P P •••• .41 v i. 3•., (1)1), _1.) BASE FEE INSPECTION OV 1 • I;, 411111 /0 I B L DG SURCHARGE PLAN CHECK • JEFFERSON ENERGY SURCHARGE COUNTY TOTAL PLANNNG&BLDG DEPT — 7 ,1 , .,, , BUILDING • 'ERMIT APPLICATION due ` //� / /` " _4. Jeffers n Co n ding Department*P .O . Box 1220IPort Townsend. WA 98368'--- LOCATION IR r—VILLA &E -FTpW 0aSPECIFIC LOCATIONE SITE ADDR /�U ai 1 ive_ _ — . • -F-14 POSTAL DISTRICT /SUBDIVISION-. - . LEGAL DESCRIPTION LOT -4f BLOCK DIVISION TAX NUMBER PARCEL NUMBER CQ 577-- �7a ;21/.... 1 / 4 SECTION k/ PLANNING AREA SECTION -�„TOWNSHIP NORTH RANGE WM BUILDING INFORMATION BUILDING TYPE TYPE OF IMPROVEMENT SQUARE FOOTAGE So 2ND FLOOR 9 7 0 SINGLE FAMILY NEW BUILDING MAIN FLOOR .3d;7J0 e� 0 MOBILE HOME 0 ADDITION °�. 0 MODULAR HOME ❑ ALTERATION BASEMENT [t,�"J,I X DETACHED/ATTACHED ❑ REPAIR CARPORT `--- V GARAGE ❑ REPLACEMENT GARAGE '-5Q ❑ WOODSTOVE ❑ WRECKING/DEMOLITION COMMERCIAL XMULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL NUMBER OF UNITS C2 MOBILE HOMES �fr/�/' Q�� O COMMERCIAL SIZE +731 !• I[-1 a7. $3 5 '5 56s�-.�?/ ❑ INDUSTRIAL �}q//05U� @ $ 1 6 1 Cf C.J �% YEAR l 0 HOTEL/MOTEL/DORMITORY MAKE $8 NUMBER OF UNITS �j f� ❑ OTHER - SPECIFY ESTIMATED COST OF i� a $8 C 1 L�d✓-'__ _ J IMPROVEMENTS TOTAE- ,FA I.Br$I J VALUE S) UBC OCCUPANCY GROUP $ $ 2 SELECTED CHARACTERISTICS OF BUILDING *CS PRINCIPLE TYPE OF FRAME PRINCIPLE TYPE OF HEATING FUEL 3 x WOOD FRAME W ELECTRICITY 0 COLLECTIVE SOLAR O MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR /� -�. ❑ STRUCTURAL STEEL ❑ GAS 0 COAL ZPrc 0010'0 r7 0 REINFORCED CONCRETE 0 OIL Yt' OTHER - SPECIFY --��"Pr�nP - `_�/ 0 MASONRY ( WALL BEARING ) DIMENSIONS 0 OTHER - a NUMBER OF STORIES TOTAL LAND AREA DEPARTMENTAL REVIEW HEALTH DEPARTMENT TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS le- , X PUBLIC OR PRIVATE NUMBER OF EXISTING BEDROOMS ❑ INDIVIDUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM 6 APPROVE RATE ❑ INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM PUD TYPE OF WATER SUPPLYN r t ,,' -1 J ��D PUBLIC • ( NAME OF WATER SUPPLY) Lun�W (.0a4 R APPROVED DATE PRIVATE ( NAME OF WATER SUPPLYr.p „ 411 PLANNING DEPT . WITHIN SHORELINE JURISDICTION O YES NAME OF ADJACENT WATER BODY ❑ NO APPROVED DATE BANK HEIGHT SETBACK PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH NAME OF PUBLIC ROAD • NAME OF PRIVATE ROAD APPROVED DATE ROAD ACCESS PERMIT REQUIRED ❑ YES 0 NO IDENTIFICATION NAME ,/�� {//� M MAILING'��r/,7 N��(IADDRESS �DCD�R1 E S S (7 ZIP T E L NO OWNER P !C a T 1 Ll i a rail �1 e. B �3_� �-�. Lur eiLc) 1 Lk)a - (os liV1421G CONT .Sal(f., 'f yak c..15..E5w ARCH 4 r THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS. SIG TUBE OF APPLICA APPLICATIO DATE RECEIPT NUMBER CHECK NUMBER OR CASH APPROVED BY ERMIT FEES BASE FEE INSPECTION BLDG SURCHARGE PLAN CHECK ENERGY SURCHARGE $ TOTAL 911 NUMBER REFUND DATE DATE ISSUED BUILDING OFFICIAL M� I III 411 FROM: PLANNING AND BUILDING DEPARTMENT ADDRESS REQUEST 1 • ' X NEW ADDRESS ADDRESS CHANGE FAD: 2 . NAME: POPE RESOURCES 3 • MAILING ADDRESS: 60M Paradise Bay Road Suite *4 Pt . Ludlow, 5 437-2101 4 • TELEPHONE: S . LOCATION: Please attach map. LEGAL DESCRIPTION: Sect . 21 — � (Fairway Village) N Site 17-B SECTION 21 TOWNSHIP 28N RANGE lE LOT4 BLOCK PLAT 6. ROAD PJAI�fEGf�(Q�l� � BETWEEN ST. & ��j( ' ST. 00EE�FhC' 5 F `t -7 led-----/ 7. NEIGHBORS : NAME: ADDRESS: N S E W - NAME: ADDRESS : N S E W NAME: ADDRESS: N S E W S . FEE PAID CASH CHECK NO. • g NEW ADDRESS STREET: CITY: REAL MILE POST date entered Aiate sent I 1 7 I '3n9.—L44 b 3182 V 1444, _ rn �1 , , 037`t6 ,., "p rs_ 2608 , rli\� '..• ` f" 3778 `r),. 1 1 C•' C' ' 224 Flea. -- 2606 26f0 219_ 1 ti ' f p tr , )1f. . 1,"11 0_W 4�1�I' S� 610 i, ,§ !g• f At.; 1 ; L_____- 2603 ;. } t r urn.o " c 37•h 1 N 3783 (43 '.r'„ 1 W oY (1)143 7979 ✓ 1 • 31 s 4609 L12 c Jit J ' 11 } �� 20.50• 4611 7981 7221 7225 :IN: 3707 3788 ' • �12 "Ii - —• 1 co _ 861 , ' N - }, _ 60 is r t 860 v u i,°}3; Y• 1, • m +.. r 0o m 1 6604 6605 M ro ok o• 4 + I;4ti '-1 r x� , ' +s o �. i h �4' r •} + k u? 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